3701-84-36
Open heart surgery service standards.

(A)
The provisions of rules 3701-84-36 to
3701-84-40 of the Administrative
Code are applicable to each provider of open heart surgery services performing
procedures on adult patients greater than or equal to twenty-two years of age,
regardless of the date service was initiated. An adult open heart surgery
service may serve a patient greater than or equal to eighteen years of age and
less than twenty-two years of age if the patient's attending physician and the
adult service's medical director determine that the adult service best serves
the needs of the patient.

(B)
The
provider of an open heart surgery service shall have available at all times in
the same building as the open heart surgery service and accessible by gurney,
adequate facilities for the open heart surgery service, including but not
limited to the following:

(C)
The provider of an
open heart surgery service shall have the capability, equipment, and personnel
to perform twenty-four hour emergency open heart procedures. A cardiovascular
surgical team shall be available in less than sixty minutes on a twenty-four
hour basis.

(D)
The provider of an
open heart surgery service shall have access to the following services:

(E)
An open
heart surgery service shall only be provided in a fully permanent setting
within the permanent frame of the building of a registered hospital that is
classified as a general hospital or as a special hospital - cardiac that
primarily furnishes limited services to patients with cardiac conditions. The
hospital shall be fully equipped to perform the service.